Healthcare Provider Details

I. General information

NPI: 1568540219
Provider Name (Legal Business Name): FRANK LOUIS STILE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8954 SPANISH RIDGE AVENUE
LAS VEGAS NV
89148
US

IV. Provider business mailing address

9921 LAUREL SPRINGS AVENUE
LAS VEGAS NV
89134
US

V. Phone/Fax

Practice location:
  • Phone: 702-243-9555
  • Fax: 702-243-9856
Mailing address:
  • Phone: 702-243-9555
  • Fax: 702-243-9856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number18046
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: